Provider Demographics
NPI:1346597986
Name:HARIKA, CHERRY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:
Last Name:HARIKA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 SAINT BOTOLPH ST
Mailing Address - Street 2:APT 6
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5120
Mailing Address - Country:US
Mailing Address - Phone:617-869-5186
Mailing Address - Fax:
Practice Address - Street 1:65 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6711
Practice Address - Country:US
Practice Address - Phone:781-933-3448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist